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Effects of Self-management Program applying Dongsasub Training on Self-efficacy, Self-esteem, Self-management Behavior and Blood Pressure in Older Adults with Hypertension
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Myoungsuk Kim, Misoon Song
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J Korean Acad Nurs 2015;45(4):576-586. Published online August 31, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.4.576
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Abstract
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Purpose
The purpose of this study was to develop a self-management program applying Dongsasub training based on self-efficacy theory, and to verify the program effectiveness on self-esteem as well as self-efficacy, self-management behaviors, and blood pressure.
Methods
The study design was a non-equivalent, pre-post controlled quasi-experiment study. Thirty-eight patients aged 65 and older from a senior welfare center in Seoul participated in this study (20 patients in the experimental group and 18 patients in the control group). The self-management program applying Dongsasub training consisted of eight sessions. After development was complete the program was used with the experimental group. Outcome variables included self-efficacy, self-esteem, self-management behaviors measured by questionnaires, and blood pressure measured by electronic manometer.
Results
Self-efficacy (t=2.42, p =.021), self-esteem (t=2.57, p =.014) and self-management behaviors (t=2.21, p =.034) were significantly higher and systolic blood pressure (t=-2.14, p =.040) was significantly lower in the experimental group compared to the control group. However, diastolic blood pressure (t=-.85, p =.400) was not significantly different between the two groups.
Conclusion
The results indicate that the self-management program applying Dongsasub training can be used as a nursing intervention in community settings for improving self-management behaviors for older adults with hypertension.
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Citations
Citations to this article as recorded by 
- The Effectiveness of a Mobile Phone Education Method Based on Self-efficacy and DASH Diet Among Patients with High Blood Pressure: A Randomized Controlled Trial
Zahra Darabi, Marzieh Araban, Amirabbas Azizi, Kambiz Ahmadi Angali, Fatemeh Borazjani Jundishapur Journal of Chronic Disease Care.2023;[Epub] CrossRef - The impact of stress management training on stress-related coping strategies and self-efficacy in hemodialysis patients: a randomized controlled clinical trial
Zohreh Ghasemi Bahraseman, Parvin Mangolian Shahrbabaki, Esmat Nouhi BMC Psychology.2021;[Epub] CrossRef - Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community
Jeongju Hong Journal of Korean Academy of Community Health Nursing.2021; 32(3): 303. CrossRef - Linking Health Literacy to Self-Care in Hypertensive Patients with Physical Disabilities: A Path Analysis Using a Multi-Mediation Model
Hye Jin Nam, Ju Young Yoon International Journal of Environmental Research and Public Health.2021; 18(7): 3363. CrossRef - Interventions for improving medication-taking ability and adherence in older adults prescribed multiple medications
Amanda J Cross, Rohan A Elliott, Kate Petrie, Lisha Kuruvilla, Johnson George Cochrane Database of Systematic Reviews.2020;[Epub] CrossRef - Effects of a Sleep Improvement Program Combined with Aroma-Necklace on Sleep, Depression, Anxiety and Blood Pressure in Elderly Women
Nami Chun, Myoungsuk Kim, Gie ok Noh Journal of Korean Academy of Nursing.2017; 47(5): 651. CrossRef - Development and Effects of Assertiveness Training applying Dongsasub Training for Nursing Students in Clinical Practice
Myoungsuk Kim Journal of Korean Academy of Nursing.2016; 46(4): 490. CrossRef - Effects of Dongsasub Training for Family Caregivers of Patients with Dementia on their Burden, Depression, and Self-esteem
Myoungsuk Kim, Kyung-Choon Lim Journal of muscle and joint health.2016; 23(1): 9. CrossRef
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Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness
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Chorong Park, Misoon Song, Belong Cho, Jaeyoung Lim, Wook Song, HeeKyung Chang, Yeon-Hwan Park
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J Korean Acad Nurs 2015;45(2):192-201. Published online April 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.2.192
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Abstract
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Purpose
The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness.
Methods
A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function.
Results
Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups.
Conclusion
The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.
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Citations
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- Application of nano-insoles on functional recovery in early postoperative period in intertrochanteric femur fractures
Xuexue Xu, Chongxue Zhu, Ya Zhu, Yumei Chen, Liya Jin Materials Express.2024; 14(6): 968. CrossRef - Validation of the Chinese version of the ‘caring ability of family caregivers of patients with cancer scale (CAFCPCS)’ in family caregivers of elderly patients with cancer: A study protocol
Dongmei Zhuang, Yan Wang, Qin Chen, Ting Wang, Peng Zhou, Furong Zhu, Shaohua Hu Nursing Open.2024;[Epub] CrossRef - The application effect of a pulmonary rehabilitation program based on empowerment theory for patients with COPD combined with heart failure
Yue Zhang, Chunfang Gu, Lin Sun, Huang Hai Medicine.2024; 103(41): e40067. CrossRef - A Comprehensive Digital Self-care Support System for Older Adults With Multiple Chronic Conditions: Development, Feasibility, and Usability Testing of myHESTIA
Priya Nambisan, Kurt C. Stange, Kalle Lyytinen, Eva Kahana, Edmund Duthie, Michael Potnek Journal of Applied Gerontology.2023; 42(2): 170. CrossRef - Outcomes of problem-based learning in nurse education: A systematic review and meta-analysis
Sapna Sharma, Ita Daryanti Saragih, Dame Elysabeth Tuty Arna Uly Tarihoran, Fan-Hao Chou Nurse Education Today.2023; 120: 105631. CrossRef - Multimodal Diabetes Empowerment for Older Adults with Diabetes
Keumok Park, Youngshin Song International Journal of Environmental Research and Public Health.2022; 19(18): 11299. CrossRef - Reliability and Validity of the Korean Version of the Health Care Empowerment Questionnaire (K-HCEQ)
Semi Lim, Kyungmi Lee Journal of Korean Academy of Fundamentals of Nursing.2022; 29(2): 131. CrossRef - The effects of health empowerment and social support on health promotion behavior in older adults: A cross-sectional study
Kyungmi Lee, Semi Lim Journal of Korean Gerontological Nursing.2022; 24(4): 433. CrossRef - Influence of Nursing Intervention Based on Risk Assessment Model on Self-Efficacy and Postoperative Rehabilitation of Surgical Patients
Yanfang Yang, Peng Chen, Cuili Jiao, Deepak Kumar Jain Journal of Healthcare Engineering.2022; 2022: 1. CrossRef - Developing Domains and Items about Self-Management among Elderly People with Chronic Disease
Gain Shin, Hae Yean Park Healthcare.2021; 10(1): 54. CrossRef - Validity and Reliability of the Korean Version of the Partners In Health Scale (PIH-K)
Mi-Kyeong Jeon, Jung-Won Ahn, Yeon-Hwan Park, Mi-Kyoung Lee Journal of Korean Critical Care Nursing.2019; 12(2): 1. CrossRef - Effects of a Health Promotion Empowerment Program Using a Resident Volunteer as a Lay Health Leader on Frail Elders' Health and Empowerment
Jeong Sook Park, Yun Jung Oh Journal of Korean Academy of Community Health Nursing.2018; 29(3): 335. CrossRef - The Influence of Self-care Behaviors, Empowerment and Social Support on Glycosylated Hemoglobin in Patients with Type 2 Diabetes
Hwa Kyung Oh, Eun Ju Lee Journal of Korean Academy of Community Health Nursing.2017; 28(2): 216. CrossRef - Health Empowerment of Older Adults with High-risk of Cardio-cerebrovascular Diseases
HyoJin Son, Gwang Suk Kim Journal of Korean Academy of Community Health Nursing.2017; 28(4): 410. CrossRef - Patient Education Competence Scale for Registered Nurses in Taiwan: Scale development and psychometric validation
Li‐Ying Lin, Ruey‐Hsia Wang Japan Journal of Nursing Science.2017; 14(2): 117. CrossRef - A Review on the Use of Effect Size in Nursing Research
Hyuncheol Kang, Kyupil Yeon, Sang-Tae Han Journal of Korean Academy of Nursing.2015; 45(5): 641. CrossRef
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Successful Aging of Korean Older Adults based on Rowe and Kahn's Model: A Comparative Study According to the Use of Community Senior Facilities
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Soo Jin Lee, Misoon Song
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J Korean Acad Nurs 2015;45(2):231-239. Published online April 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.2.231
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Abstract
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Purpose
This study was conducted to examine the prevalence of successful aging and factors influencing successful aging.
Methods
This was a secondary analysis study. Data were analyzed from 10,462 elderly people who participated in the 2011 National Elderly Survey. According to the use of community senior facilities, participants were divided into 4 groups: those who used senior centers (group A, n=580), village senior clubs (group B, n=3,240), both of the 2 facilities (group C, n=339), and neither of the 2 facilities (group D, n=6,303). Cross-tabulation and logistic regression were performed.
Results
The prevalence of successful aging was highest in group C (20.94%) and lowest in group D (10.41%). The physical & mental function and active engagement domains were highest in group C, while they were lowest in group D. The disease & risk factors domain were highest in group A, while lowest in group B. An educational level of middleschool or higher and income level in the third or higher quintile were significant factors for predicting successful aging in all groups.
Conclusion
These results provide a basis for designing prevention and management programs as interventions to increase the prevalence of successful aging in Korean older adults.
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Citations
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- Changes in successful aging and its related indicators among community-dwelling older adults: The Korean Frailty and Aging Cohort Study (KFACS)
Hohyun Seong, Sohee Kim, Hyunsook Shin, Chang Won Won, Youn-Jung Kim Geriatric Nursing.2024; 59: 392. CrossRef - Comparative analysis of successful aging in young-old and old-old adults based on Rowe and Kahn’s model: A secondary data analysis
Ji Eun Lee Journal of Korean Gerontological Nursing.2024; 26(2): 203. CrossRef - Using an adaptive network-based fuzzy inference system for prediction of successful aging: a comparison with common machine learning algorithms
Azita Yazdani, Mostafa Shanbehzadeh, Hadi Kazemi-Arpanahi BMC Medical Informatics and Decision Making.2023;[Epub] CrossRef - Prediction of successful aging using ensemble machine learning algorithms
Zahra Asghari Varzaneh, Mostafa Shanbehzadeh, Hadi Kazemi-Arpanahi BMC Medical Informatics and Decision Making.2022;[Epub] CrossRef - Associations of the related factors of depression, social support and social participation in kyungro‐dang among older adults in South Korea: A structural equation modelling analysis
Hocheol Lee, Seokjun Moon, Geurum Song, Eun Woo Nam Nursing Open.2021; 8(2): 562. CrossRef - Factors Associated with Successful Aging among Community-Dwelling Older Adults Based on Ecological System Model
Hye-Young Jang International Journal of Environmental Research and Public Health.2020; 17(9): 3220. CrossRef - The Effect of Basic Psychological Needs and Wisdom on Successful Aging in the Elderly
Min-Jeong Nam, Young-Mun Cho Korean Journal of Adult Nursing.2018; 30(1): 70. CrossRef - Factors Affecting the Successful Aging of Late Middle-Aged Adults
YonJi Kim, JuHee Lee, Young Joo Lee Korean Journal of Health Promotion.2018; 18(2): 90. CrossRef - Correlates of Successful Aging in South Korean Older Adults: A Meta-Analytic Review
Sin-Hyang Kim, Sihyun Park, Kyung-Sook Park Asia Pacific Journal of Public Health.2017; 29(7): 544. CrossRef - Successful Aging and the Influencing Factors in the Korean Elderly: Focused on Family Support
SongYi Han, Soon-Nyung Yun Journal of Korean Academy of Community Health Nursing.2015; 26(4): 372. CrossRef
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Comparison of Nursing Activities Reflected in Nursing Notes and In-depth Interviews of Nurses in an Acute Hospital
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Misoon Song, Mae Ja Kim, Young Sook Park, Eun Ok Lee, Yang Sook Hah, Kyung Ja Han, Se Ang Ryu, Hae Young Kang, Kyung Nam Kim, Moon Sook Cho
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Journal of Korean Academy of Nursing 2003;33(6):802-811. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.6.802
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Abstract
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Purpose
The purpose of this study was to compare the nursing activities delineated by interview of nurses with those on nursing notes.
Method
The participants of interview were 18 nurses working in medical and surgical units of a large hospital in Seoul. Each nurse was asked to choose one patient who demand most nursing care among her patients. The nurse was then interviewed to describe what her nursing activities for the patient was that day. The audio-taped interview was transcribed and the content was analyzed by researchers. Nursing notes of each nurses' patients were copied and the content analyzed by researchers. Finally, themes from the interview data and those from nursing notes were compared.
Result
Activities related to emotional or psychological nursing, education for patient and families, and problem solving related to treatment or nursing procedure were most often omitted in nursing notes. Most of the documentation in nursing notes were related to physical condition of patients or physician's orders. Nurses described that they will do better recording if they were given less patient care responsibility, had better nursing knowledge, had better recording system, and received more training on nursing record.
Conclusion
Nursing notes did not reflect nursing activities properly. Few independent nursing roles were documented in the nursing notes. Development of nursing education program and nursing record system is needed for improvement of nursing record.
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Citations
Citations to this article as recorded by 
- Effects on Knowledge and Performance in Clinical Nursing of Education on Nursing Recording Focusing on Legal Aspects
Eun-Young Kim, Yeo-Jin Yi Journal of Korean Academy of Nursing Administration.2011; 17(3): 277. CrossRef - A Comparison of the Nursing Records of Hysterectomy Patients: Pre and Post Implementation of an ICNP Based Electronic Nursing Record System
Woan Heui Choi, Young Sook Park, InSook Cho Journal of Korean Society of Medical Informatics.2009; 15(4): 455. CrossRef - Identifying outcomes from the nursing outcomes classification as indicators of quality of care in Korea: A modified delphi study
B. Lee International Journal of Nursing Studies.2007; 44(6): 1021. CrossRef
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Model Development of Change of Family Functioning with Chronic Illness
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Eun Ok Lee, He Sook Kim, Young Sook Park, Misoon Song, Insook Lee, Yeon Hwan Park
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Journal of Korean Academy of Nursing 1999;29(3):467-484. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.1999.29.3.467
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Abstract
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The main objectives of this study were to investigate the concept of family function from the perspective of the contemporary Korean family, and to construct model of change of family function whit chronic illness. The hybrid model approach was applied in which three phases(theoretical phase, empirical phase, and analytic phase) of concept development were explored for family functioning. The study was conducted from 1997 to 1998. In empirical phase, two groups of purposive samples were drawn : normal family group composed of six families without ill family member, and ill family group composed of seven families of which wives have rheumatoid arthritis. Only families with child(or children)in primary or secondary schools were included in the study. The results were as follows: In theoretical phase, six dimensions of family concept were emerged : affective, structural, control, cognitive, financial, and reproductive dimension. In order to analyze the Korean normal family function in middle class with middle-age women, financial and reproductive dimension were not included. In empirical phase, five dimensions(affective, structural, control, cognitive, and external relationship) were fond from the normal family data. External relationship dimension is very important factor as a resource of the support, especially when their parents or siblings had no help or support to them. In the affective dimension, Korean family emphasized harmony and balance rather than affective expression harmony and balance rather than affective expression between couples and between parents and children. They also showed common goals of the families to solve their problems to control the family members. The priority of the goals was getting into the higher education of their children or helping their unhealthy parents or family members. Six dimension(affective, structural, control, cognitive, external relationship, and financial) of family functions were emerged from the ill family data. From the analysis of ill family data, types of restructuring house chore after wives illness were developed : (a) negociated, (b) accomodated, and (c) isolated, enduring types. Although the dimensions of family functioning identified in this study are similar to the conceptualizations that exist in the western literature, there where distinct differences in the nature of major themes and subconcepts under these family function dimensions.
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Citations
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- Development of the Japanese Version FFS (Family Functioning Scale): Reliability and Validity for Family on Child-Fostering Phase
Mitsuko Kanzaki, Chifumi Otaki, Kazue Maeda, Taeko Hori, Akemi Take, Hiroko Otsuka, Taeko Noguchi, Sumiko Maehara Journal of Japan Academy of Nursing Science.2012; 32(1): 50. CrossRef - To Holroyd E (2005) Commentary on Lee et al. (2004)
Insook Lee, Eun‐Ok Lee, Hesook Suzie Kim, Young Sook Park, Misoon Song, Youn Hwan Park Journal of Clinical Nursing.2006; 15(5): 654. CrossRef
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Factors Predicting Development of Decubitus Ulcers among Patients Admitted for Neurological Problems
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Misoon Song, Kyung Sook Choi
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Journal of Nurses Academic Society 1991;21(1):16-26. Published online March 31, 2017
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DOI: https://doi.org/10.4040/jnas.1991.21.1.16
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Abstract
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In this prospective study, factors contributing to the development of decubitus ulcers were examined.
Factors were identified by a literature review and a conceptual framework was developed. Regular observations were made during the subjects' hospitalization to determine the incidence of decubitus ulcers, and to assess other decubitus ulcer risk factors.
Seventeen out of 146 admitted for neurological problems patients developed decubitus ulcers during the three month study period. There were no significant differences in the level of serum albumin, hemoglobin, hemoglobin or age between those who developed decubitus ulcers and those who did not. There also was no difference in incidence between patient who were paralyzed and those not paralyzed. Mean hospitalization days until decubitus ulcer development was 6.5 days. According to the results of discriminant analysis, four factors - 1) friction and shear, 2) sensory perceptual impairment, 3) low diastolic pressure, and 4) multiple use of sedative medications -predicted 84.93% of decubitus ulcer incidence.
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- Accuracy and clinical effectiveness of risk prediction tools for pressure injury occurrence: An umbrella review
Bethany Hillier, Katie Scandrett, April Coombe, Tina Hernandez-Boussard, Ewout Steyerberg, Yemisi Takwoingi, Vladica M. Veličković, Jacqueline Dinnes, Janet Cuddigan PLOS Medicine.2025; 22(2): e1004518. CrossRef - Predictive Validity of the Braden Scale for Pressure Ulcer Risk: A Meta-analysis
Seong-Hi Park, Yu-Sun Park Journal of Korean Academy of Nursing.2014; 44(6): 595. CrossRef - Evaluation of Risk for Pressure Ulcers Using the Braden Scale in Elderly Patients Receiving Long-Term Care
Dong-Hun Kim M.D., Hwee-Soo Jeong M.D., Dong-Wook Lee M.D. Journal of the Korean Geriatrics Society.2011; 15(4): 191. CrossRef
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Efficaey of Progressive Muscle Relaxation Training in Reducing Nausea and Vomiting, Anxiety and Symptom Distress of Cancer Chemotherapy
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Misoon Song, Gye Young Shin
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Journal of Nurses Academic Society 1987;17(3):195-203. Published online March 31, 2017
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DOI: https://doi.org/10.4040/jnas.1987.17.3.195
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Abstract
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Twenty five cancer patients were assigned to two groups: The experimental group which received Progressive Muscle Relaxation (PMR) training and the control group without the training. Base line data for dependent variables -nausea and vomiting, state anxiety and symptom distress- were-collected when the subjects of both groups received the first cycle chemotherapy. Then the experimental group was trained for PMR between the first and the second cycle chemotherapy. The same dependent variables were measured during the second cycle chemotherapy from the subjects. Results indicated that the PMR group showed no-significant difference in severity of nausea and vomiting compared to the control gorup.Although the significance was not supported, the severity of nausea and vomiting in experimental group decreased while control group increased between the first and fifth day of the second cycle chemotherapy. The experimental group showed significantly less. state anxiety during the second cycle than the control group (p<0.01). Significantly low symptom distress was also reported in the experimental group compared to the control group (p<0.01). The result suggests that PMR training may be an effective procedure for helping cancer patients cope with the adverse effects of their chemotherapy.
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- Induction of Apoptosis in AGS Human Gastric Cancer Cells byPlatycarya strobilaceaLeaf Extract
Hyeong-Seon Lee Microbiology and Biotechnology Letters.2021;[Epub] CrossRef - The Effect of Continuous Nutritional Education and Oral Mucositis Management on Nutritional Status of Patients Undergoing Hematopoietic Stem Cell Transplantation
Kyoung Soon Park, Byung Hwa Lee, Ho Ran Park Journal of Korean Oncology Nursing.2010; 10(2): 119. CrossRef - Effects of Progressive Muscle Relaxation on Nausea, Vomiting, Fatigue, Anxiety, and Depression in Cancer Patients Undergoing Chemotherapy
Young-Jae Kim, Nam-Sook Seo Journal of Korean Oncology Nursing.2010; 10(2): 171. CrossRef
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